The stalemate between junior doctors and ministers continues as west London medics walk out in the first ever all-out protest in NHS history.
Junior doctors took up placards and billboards outside hospitals across the city to fight against the proposed changes by Health Secretary Jeremy Hunt .
At Charing Cross Hospital in Hammersmith , doctors and health care professionals gathered outside and chanted against the new contracts put forward by Mr Hunt, which include an average pay rise of 13.5% but no additional pay for "unsociable hours".
Meanwhile, a huge march has been planned from St Thomas' Hospital near Westminster Bridge where supporters of junior doctors are being asked to join them.
Large numbers of junior doctors have already gathered outside the teaching hospital to show their solidarity.
Similar scenes can be seen at Ealing hospital, where around 50 junior doctors took action.
Junior doctor Joel Schamroth, 28, who was one of the 50, told getwestlondon: "I feel the strike is absolutely neccessary.
"No doctor wants to strike but the fact that we have had to take such extreme action shows how severe the situation is.
"This contract will be a disaster, spreading NHS services thin, worsening patient care and overworking doctors.
"We have to take this stand on behalf of our patients and the NHS as a whole."
He added: "I would like to tell Jeremy Hunt to stop lying, repeatedly, to the general public about patient mortality data.
"He's using these lies to justify his awful, ill-conceived policies. It's the most deceitful and dishonest approach I've ever seen from a politician.
"We apologise for the inconvenience of the strikes. Anyone who needs emergency care will still receive it - the hospital is full of our consultants who will look after you."
NHS officials have reassured those needing emergency care that "robust plans" have been made between other doctors and staff so the service isn't compromised.
However, CEO of NHS Employers Danny Mortimer said their loss would be felt and "it would be preferable if they they would put the care of those emergency patients first".
More updates as we hear it.
Are you striking as a junior doctor or a patient affected by the protests? Email firstname.lastname@example.org or tweet @amitacjoshi.